Bone Grafting


About This Treatment

When an implant is loaded, it means the implant is fitted with the prosthesis, restoring the
patient’s ability to eat, talk, and smile. With an immediate load dental implant, we fit the
prosthesis on the same day as inserting the implant, sometimes in as little as an hour after the
implant is fitted.

The Process

Bone grafting is a surgical procedure that aims to repair or
rebuild bones through the transplantation of bone tissue. In the
context of dentistry, it’s commonly used to enhance the volume
or density of the jawbone, creating a stable base for dental
implant placement. Here’s a generalized guide to the bone
grafting procedure, though specific steps can vary based on
the patient and practitioner.

Consultation and Assessment

  1. Dental Examination:
    • In-depth oral evaluation and utilizing X-rays or CT scans to assess the jawbone.
  2. Treatment Discussion:
    • Going over the procedure, recovery, costs, and answering any queries.
  3. Bone Graft Material Decision:
    • Determining the type of bone graft material (autograft, allograft, xenograft, or alloplast).

Pre-Surgical Phase

    1. Oral Health Optimization:
      • Addressing any existing oral health issues (e.g., gum disease).
    2. Anesthesia Planning:
      • Selecting appropriate anesthesia or sedation options.

Bone Grafting Procedure

    1. Administering Anesthesia:
      • Ensuring the patient is comfortable and the site is numb.
    2. Site Preparation:
      • Accessing the bone graft site, which may involve gently pushing back gum tissue.
    3. Placing the Bone Graft:
      • Positioning the bone graft material at the designated site.
    4. Securing the Graft:
      • Possibly using membranes, sutures, or other means to secure the graft material.
    5. Closure:
      • Stitching up the surgical site.

Recovery Period

    1. Initial Healing:
      • Managing post-surgical discomfort, swelling, and adhering to dietary recommendations.
    2. Hygiene Care:
      • Following guidelines for oral hygiene to prevent infection without disturbing the graft site.
    3. Follow-Up Appointments:
      • Monitoring the healing process and ensuring successful graft integration.


    1. Bone Fusion:
      • Allowing sufficient time for the graft to fuse with the natural bone, which can take several months.
    2. Regular Checks:
      • Ongoing assessments to confirm successful osseointegration before proceeding to the next steps.

Before and After


Patient Stories


How painful is a bone graft?

There is little to no pain associated with a bone graft because the dentist will sedate the patient throughout the entire process. Even when the graft is healing, there should not be any pain. Once the graft has healed, the patient will be ready for their implants.

How long does bone graft take to heal?

Recovery time depends on the injury or defect being treated and the size of the bone graft. Your recovery may take 2 weeks to 3 months. The bone graft itself will take up to 3 months or longer to heal. You may be told to avoid extreme exercise for up to 6 months.

Does bone graft turn to bone?

Bone grafting is possible because bone tissue has the ability to regenerate completely if provided the space into which it has to grow. As natural bone grows, it generally replaces the graft material completely, resulting in a fully integrated region of new bone.

What is the scientific basis behind bone grafting in the context of dental implantology, and how does it promote long-term implant success?

Bone grafting is rooted in the principles of osseointegration, a process where the grafted bone integrates with existing bone, creating a stable foundation for dental implants. It is crucial in cases where patients have insufficient natural bone to support an implant. By enhancing bone density and volume, bone grafting ensures the long-term success of dental implants by providing a secure anchor for them to fuse with the surrounding bone.

Could you explain the distinctions between autografts, allografts, xenografts, and synthetic graft materials, and how clinicians determine the most appropriate graft source for individual patients?

Autografts use the patient’s own bone, allografts come from human donors, xenografts from animals, and synthetic materials are man-made. The choice depends on factors like the patient’s health, the location of the graft, and the desired outcome. Autografts are preferred for their compatibility, but allografts and xenografts are more readily available. Synthetic materials are chosen for specific cases based on their biocompatibility and stability.

What are the advanced imaging and diagnostic techniques used in evaluating the need for bone grafting and how do they influence treatment planning for dental implant procedures?

Modern imaging techniques like cone-beam computed tomography (CBCT) and digital impressions offer detailed, three-dimensional views of the patient’s oral structures. These tools aid in assessing bone quality, quantity, and identifying any anatomical challenges. They are pivotal in planning precise implant placement, ensuring minimal invasiveness, and reducing the risk of complications.

In cases of extreme bone atrophy or complex anatomical challenges, what innovative strategies, such as guided bone regeneration, block grafts, or computer-assisted implant planning, are employed to optimize the outcome of bone grafting procedures?

Severe atrophy or complex anatomical issues often require advanced solutions. Guided bone regeneration involves using barrier membranes to promote controlled bone growth. Block grafts use larger pieces of bone, often harvested from the patient’s body. Computer-assisted implant planning ensures precise positioning, enhancing the effectiveness of grafting procedures.

What is the role of regenerative technologies, such as growth factors, stem cell therapies, and biocompatible materials, in enhancing bone grafting outcomes, and how are they integrated into clinical practice?

Regenerative technologies, including growth factors like platelet-rich plasma (PRP) and stem cell therapies, stimulate tissue healing and bone regeneration. They are often integrated into grafting procedures to accelerate recovery and improve graft integration. Biocompatible materials enhance the stability of grafts and promote natural tissue growth.

What are the postoperative care and monitoring protocols after a bone grafting procedure, and how do they contribute to the long-term success of both the graft and the dental implant?

Postoperative care includes strict adherence to instructions, such as diet restrictions and oral hygiene. Regular follow-up appointments allow clinicians to monitor healing progress and make necessary adjustments. This meticulous care ensures the graft’s stability and, subsequently, the success of the dental implant.

Can you elaborate on the use of minimally invasive techniques, such as laser-assisted bone grafting or Piezosurgery, in reducing patient discomfort and expediting the recovery process following a bone graft procedure?

Minimally invasive techniques, such as laser-assisted bone grafting and Piezosurgery, are advanced methods that reduce trauma to surrounding tissues, leading to less discomfort, quicker healing, and lower risk of complications. These techniques are part of a comprehensive approach that prioritizes patient comfort and safety during the recovery process.

London Coverage

We provide dental treatments to patients across the whole of London and have provided specialist dental Implant treatments to patients in areas such as: Aldgate, Bow, Barnet, Camden, Chelsea, Clapham, Clapton, Croydon, Dalston, Deptford, Dulwich, Ealing, Fulham, Hackney, Hammersmith, Hanwell, Hendon, Highbury, Highgate, Isle of Dogs, Islington, Mile End, Millwall, New Cross, Plaistow, Poplar, Shoreditch, Stepney, Streatham, Sutton, Totteridge, Tower Hill, Twickenham, Watford, Whetstone, White Chapel and Wimbledon.

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